What is it about?

Hospitalized patients typically have pain due to disease, injury, or surgery. Rating their pain on a scale of 0 to 10 helps nursing staff to treat their pain. Use of the pain scale for labor is inappropriate since it is not a disease or injury. Labor is a process that involves pain but is largely a healthy process which culminates in birth. Determining how women are coping by use of the Farver-Campos Labor Coping Scale enables nursing staff to help women cope. Use of listed coping options help with labor progress, as well as helping women cope.

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Why is it important?

Use of the 0-10 pain scale in hospitalized patients led to increased use of opiates, which led to increase in opiate overdoses and a rise in opioid dependency and death. Use of the Farver-Campos Labor Coping Scale involves coping options which decrease use of interventions and medications. Coping options have no side effects, and promote labor progress.


Society has increasingly viewed labor as a negative process because it involves pain. Rather, it is a competent physiologic process. Through this process, new life comes into the world. Women need to be encouraged to view labor as a positive experience resulting in their goal of having a baby. Labor is not about having pain, it's about having a baby. Coping helps women focus on labor as a positive process. Use of the Farver-Campos Labor Coping scale helps focus nursing care on helping women cope.

Marie-Celine Farver
Sutter Health

Read the Original

This page is a summary of: The Farver–Campos Labor Coping Scale as a Replacement for the 10-Point Pain Scale for Labor, The Journal of Perinatal Education, January 2024, Springer Publishing Company,
DOI: 10.1891/jpe-2022-0034.
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